Individual
MS. CONNIE M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, CDE, BC-ADM
Contact information
Practice address
1504 STINSON AVE, CHEYENNE, WY 82001-3319
(307) 632-8064
(307) 632-6131
Mailing address
PO BOX 685, 7235 WELD COUNTY ROAD 96, WELLINGTON, CO 80549-0685
(970) 897-2945
(970) 897-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
124523
CO
363LF0000X
Family Nurse Practitioner
Primary
20234.0234
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1229583
—
WY
Enumeration date
01/29/2007
Last updated
07/09/2007
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